Clinical Spectrum and Management of Diabetic Ketoacidosis: Experience in A Tertiary Care Hospital

Abstract Background: Diabetic ketoacidosis (DKA) is an acute metabolic complication of diabetes mellitus (DM). It may be the presenting feature in type 1 DM, but more commonly it complicates previously diagnosed diabetic patients, both type 1 and type 2. If not recognized early and treated in a judicious way the outcome is often fatal

Efficacy of Topical Doxepin in the Treatment of Eczematous Dermatoses

An interventional study was carried out in the department of Dermatology and Venereology, Faridpur Medical College Hospital, Bangladesh from January, 2010 to June 2010 to evaluate the efficacy of topical doxepin cream in eczematous dermatoses. We included ninety three patients with moderate to severe pruritic eczematous dermatoses, in this study. Improvement of pruritus was assessed at day 3 and at day 7 by both Visual analogue scale (VAS) and Itch severity) scale (ISS). By VAS at day 3, 61.3% patients showed improvement and at day 7 improvement rate increases to 84.9%. By ISS, improvement at day 3 was 68.9%, and increased to 90.3% at day 7. Improvement was experienced by all types of eczema patients. By visual analogue scale (VAS) mean pruritus reduction at day 3 was 2.25 (± 1.93) and at day 7 was 4.30 (± 1.99). By ltch Severity Scale (ISS) mean pruritus reduction at day 3 was 3.76 (± 2.91), and at day 7 was 8.18 (± 3 42). An average of 27.27% (29.88% by VAS and 24.65% by ISS) reduction of pruritus noticed at the end of day 3 and at the end of study, response increases to 55.58% (57.10% by VAS and 54.06% by ISS) Paired sample t test was done and found that pruritus reduction was statistically significant at day 3 and day 7 both by VAS & ISS We can conclude that doxepin cream is highly effective in relieving pruritus associated with eczematous dermatoses but it has little effect on eczema itself. DOI: http://dx.doi.org/10.3329/bmj.v41i3.18955 Bangladesh Medical Journal 2012 Vol.41(3): 28-3

Prevalence of Depression Among Post-Graduate Medical Trainees: A Multi-Centre Survey

Objectives: To describe the prevalence of depression among post-graduate medical students and to evaluate some related risk factors. Methodology: This cross-sectional survey was done in three post-graduate medical teaching institutes in Dhaka, Bangladesh in February 2013. A preformed questionnaire including some demographic, socio-economic and work related variables was used for the purpose and depression was diagnosed and severity assessed by using Hamilton Rating Scale for Depression (HAM-D). Results: A total of 100 post-graduate medical trainees were given a preformed questionnaire. Among them 53 students filled it up properly and sent back in given time (response rate was 53%). Mean age of the respondents was 31.6 years, male and females were almost equally distributed. Depression was present in 21 (39.6%) respondents. Among them 17 (80.9%) had mild depression and 4 (19.1%) had moderate depression. None of the respondents had severe or very severe depression. Increased age, low income, marital status, living away from family, smoking, long working hours and inadequate time for study appeared as important risk factors. Conclusion: Two-fifth of post-graduate medical trainees suffered from mild to moderate depression. This issue should be properly addressed because of its possible impact on training outcome. DOI: http://dx.doi.org/10.3329/birdem.v4i1.18548 Birdem Med J 2014; 4(1): 18-21</jats:p